Georgia County Government - Winter 2015 - (Page 39)

sPecIAl Focus: HeAltH & HuMAn servIces dealinG WitH tHe mentally ill in Jails a Look at the Cobb and douglas Community services Board's Health Center By Bryan Stephens, Interim Director Cobb/Douglas Community Service Board IN NORTH GEORGIA, there is no state mental hospital. Northwest Georgia Regional was closed in the summer 2011. Since that time, any individual without insurance who needs behavioral health services has gone to a state contracted bed in private hospitals, or one of the stabilization units run by Community Services Boards. The goal of the state is to treat these individuals closer to home. Construction was completed on a new Behavioral Health Center in Cobb County in summer 2015. The Cobb and Douglas Community Services Board (CDCSB) built the $6.4 million health center on County Services Parkway near the Cobb Adult Detention Center. The facility was funded by the Georgia Department of Behavioral Health and Developmental Disabilities. Community Services Boards are the safety net providers for mental health, substance abuse and developmental disabilities. Twenty-six CSB's contract with the Department of Behavioral Health and Developmental Disabilities to provide services across the state. The Cobb and Douglas CSB provide services for the citizens in Cobb and Douglas counties, and some of Cherokee and Paulding counties. The Cobb and Douglas Community Services Board provides a wide variety of services to meet the needs of its clients. The lowest impact services are typical outpatient services for Mental Health and Substance Abuse. In three clinics, individuals can come in for psychiatric treatment as well as individual and group therapy. Other programs provide more intensive services, such as daily groups and psychosocial rehabilitation for mental illness and day centers for developmental disabilities. More intensive services include three levels of mental health case management, including the highest level of community services, assertive community treatment. CDCSB has a robust supportive housing program for both mental health and substance abuse. In Cobb and Douglas counties, there are over 150 apartments. CDCSB prides itself in serving clients in a dual diagnosis home for mental health and substance abuse, an intensive treatment residence, and several clients in community improvement homes. Cobb also houses one of two residential adolescent treatment facilities for Substance Abuse in the State of Georgia. It supports several developmental disability host homes, where individuals can live in a family environment instead of a group home. Thanks to a progressive approach by Cobb County, CDCSB contracts to place eight staff, including a full time psychiatrist into the Cobb Adult Detention Center. The county serves 500 individuals a month with mental health issues. Part of the plan for the new health center, is to divert clients from the emergency rooms and jails in Cobb and Douglas counties. The goal is to serve less individuals behind bars, and more in the community. This center will transform how CDCSB conducts business. The 22,000-square-foot facility will have the capacity for walk-in treatment services for adults, referrals from hospitals, and direct admits from CDCSB outpatient services. The Mainstreet area of the facility is where individuals will have their strengths and needs assessed to form a course of treatment. If the individuals clearly do not need immediate services, they can be opened and referred into CDCSB outpatient services the same or next day, or to another service provider. For individuals with more needs, there is The Boulevard, with six, 23-hour observation beds. Like a hospital cardiac observation unit, The Boulevard will allow staff to monitor individuals who need some immediate care. Some of these individuals will be discharged to outpatient services, and some will transition into the acute care unit, The Avenue. The Avenue hosts 24 beds and is a short term residential treatment unit. Individuals will remain with staff from for 3-6 days to recover from their acute crisis, be it a mental health issue such as suicidal ideation, or detoxing from alcohol or drugs. Whether someone is admitted to The Boulevard or Avenue, social work staff will assist the individual and provide them a link to services within CDCSB or another provider. There are four additional beds on The Avenue that are transition beds. These are used for individuals who are done with acute treatment, but still do not have a place to go that will help with their recovery. During the day, they will go to outpatient groups, and return for a safe place to stay and work on finding a placement. Let's follow a client or two through the process. Sue is single, just lost her job, and suffers from depression. Sue does not have any insurance, is worried about losing her housing, and is contemplating suicide. She hears about Winter 2015 39

Table of Contents for the Digital Edition of Georgia County Government - Winter 2015

President’s Message
Director’s Desk
Legislative Preview
ACCG District Days
The Impact of Body Worn Cameras
Georgia House Bill 310: What it Really Means to Local Governments and Communities
Mobile Integrated Healthcare/ Community Paramedicine – In your County’s Future?
Q & A With Dr. Jill Mabley, Medical Director of Cherokee County Fire & EMS
Three Technologies Improve Efficiencies in Georgia County Jails and Courts
Counties and Inmate Medical Assistance
Dealing with the Mentally Ill in Jails
News & Notes
Index of Advertisers

Georgia County Government - Winter 2015